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What You Need To Know

Dermal Filler dissolving

As a concerned individual researching the best way to dissolve filler, you want to be well-informed about the process and potential risks. This comprehensive guide aims to address your concerns and provide you with valuable information on the topic.

Types of Fillers

Fillers are injectable materials used in cosmetic procedures to restore volume, smooth out wrinkles, and enhance facial features. Different types of fillers include:

  • Hyaluronic acid (HA): A naturally occurring substance in the skin that attracts water and provides hydration and volume. HA fillers are temporary and typically last 6-18 months.
  • Calcium hydroxylapatite (CaHA): A mineral-like compound found in bones. CaHA fillers are thicker than HA fillers and provide longer-lasting results, typically around 12-24 months.
  • Poly-L-lactic acid (PLLA): A biodegradable synthetic substance that stimulates collagen production. PLLA fillers are considered semi-permanent and can last up to 2 years.

Only hyaluronic acid fillers can be dissolved. Semi-permanent or permanent fillers may require more invasive removal methods.

Reversing filler

Reasons for Dissolving Filler

There are several reasons why someone may want to dissolve filler:

  • Unwanted side effects: Some people may experience swelling, infection, or lumps after filler injections. These issues can often be resolved by dissolving the filler.
  • Dissatisfaction with results: Sometimes, the outcome of a filler treatment may not meet one’s expectations, leading them to seek dissolution.
  • Changing one’s mind or desiring a different look: Personal preferences may change over time, prompting an individual to remove their filler as they desire a different appearance.
  • Pre-surgery assessment: If you are looking to consult a cosmetic surgeon for procedures such as surgical face/neck lift or rhinoplasty, it is likely that you will need to have the filler dissolved prior to your appointment with them.

Hyaluronidase: The Filler Dissolver

Hyaluronidase is an enzyme that breaks down hyaluronic acid, making it the go-to solution for dissolving HA fillers. When injected into the area where the filler was administered, hyaluronidase rapidly breaks down the filler material, allowing it to be safely absorbed and eliminated by the body.

The process of injecting hyaluronidase typically involves:

  1. A consultation with a qualified clinician’ to discuss the concerns and desired outcome.
  2. The injection of hyaluronidase into the targeted area.
  3. A follow-up appointment to assess the results and administer additional treatments if clinically indicated (additional cost may apply).

Risks and side effects associated with hyaluronidase can include allergic reactions, bruising, swelling, and infection. However, these risks are relatively low when an experienced clinician performs the procedure.

Choosing the Right Provider

Selecting a qualified and experienced clinician for dissolving filler is crucial to achieving your desired outcome and minimising risks. Tips for finding the right provider include:

  • Hyaluronidase is a prescription medication. Therefore the provider must be a clinician with a license to prescribe.
  • Research online to identify providers who specialise in filler dissolution.
  • Ask friends or family members for recommendations.
  • Read reviews and testimonials from previous clients.


Dissolving unwanted filler with hyaluronidase is notorious for being very painful. This need not be the case. Essence Medical is a referral centre for this procedure, and clinics all over Scotland refer their patients to us. Dr Bong has extensive experience in this treatment and a novel method for diluting hyaluronidase, offering you a pain-free treatment experience.


If your beautician offers to dissolve your filler, please know this is illegal. Hyaluronidase is a prescription medication. This means it can only be prescribed, dispensed and administered by a clinician with a licence to prescribe (such as a doctor or dentist). Without a prescription, a beautician can only procure this drug through an illegal and unregulated channel. Therefore, the authenticity of the hyaluronidase they use is questionable, putting you at risk of possible medical complications.

Prevention and Maintenance

Taking preventative measures and adequately maintaining filler results can help you avoid the need for dissolving filler in the future:

  • Choose the right provider: Selecting a skilled and experienced aesthetic doctor for your filler injections will minimise the likelihood of complications.
  • Discuss concerns and expectations beforehand: Open communication with your provider about your goals and any concerns can help ensure a satisfactory outcome.
  • Follow aftercare instructions: Adhering to your provider’s aftercare guidance will support optimal healing and results.
  • Avoid excessive sun exposure: Protecting your skin from the sun can help prolong the life of your filler and maintain its appearance.
  • Maintain a healthy lifestyle: Eating well, exercising, and staying hydrated can all contribute to maintaining the integrity of your filler treatment.

Dissolving filler may seem daunting, but proper research and choosing the right provider can be a safe and effective process. The UK’s lack of licensing laws for Botox and other potentially dangerous toxins means there are more and more cases of patients, at best, seeking reversal of bad fillers and, at worst, with permanent damage. The aesthetics industry agrees that qualified and experienced medical professionals should only perform injectable treatments.

In 2013 the Keough Report was commissioned by the government and set out recommendations for regulating cosmetic practice in the UK. Commenting on the report, Rajiv Grover, then President of the British Association of Aesthetic Plastic Surgeons, stated that ‘aesthetic injectables should only ever be provided by medical professionals’ as ‘dermal fillers have clear benefits but also risks – it is not just about who can wield a syringe but who will have the capabilities to deal with any possible complications.’

In 2016 Health Education England reports reaffirmed that the medical community and the Department of Health are taking steps toward stricter regulation. We advise injectibles should only be prescribed by a qualified aesthetic Doctor such as Dr Bong and that you always make informed decisions about cosmetic treatments to ensure the best possible outcome.

Frequently Asked Questions

Dermal fillers can be eliminated using an injectable treatment called Hyaluronidase or Hyalase. This substance is injected into the area that previously received dermal fillers.

Similar to hyaluronic acid, Hyalase is a natural component of the human body. The enzyme works by dissolving hyaluronic acid through breaking the bonds that keep the HA molecules intact. Subsequently, the body naturally absorbs the broken-down molecules without causing any negative consequences.

Not when it is carried out by Dr Bong. Dissolving unwanted filler with hyaluronidase is notorious for being very painful. This need not be the case. Essence Medical is a referral centre for this procedure and clinics from all over Scotland refer their patients to us. Dr Bong has extensive experience in this treatment and a novel method in diluting the hyaluronidase, offering you a pain free treatment experience.

You will observe a decrease in volume in the area right after the treatment, but swelling is typical, making it challenging to see the full impact of filler removal treatment instantly and it is normally a few days before the treatment shows its complete effect.

The average cost for filler reversal is around £300-£400 per treatment. 

We accept cash or the following major credit and debit cards. We do not accept personal cheques.

If you are a new patient, a booking fee will be taken at the point of making your appointment.  Please read our full terms and conditions here.

We respect that your time is valuable, and we appreciate that you understand ours is too. Unfortunately, if appointments are cancelled or rescheduled at short notice, or if you do not attend an appointment, we cannot allocate your appointment slot to someone else; however, we still have overheads and staff salaries to pay. Please read our full terms and conditions here.

Please note for all patients, a £50 fee will be charged if you cancel or reschedule ANY appointment (including appointments which do not require an upfront deposit, such as a ‘check-up’ or review appointment) less than 48 hours before the appointment time. Patients who have pre-purchased a course of treatment will forfeit one of the treatments instead of paying this fee.

Late arrival to your appointment may result in reduced treatment time or the forfeiting of the appointment. We will endeavour to ensure that your appointment runs on time. However, for reasons beyond our control, we may need to cancel or postpone your appointment at short notice. In this unlikely event, we will try to contact you in advance. We do not offer compensation if we cancel or postpone your appointment.

Please read our full terms and conditions here.

To help our patients minimise the chance of losing their deposit or pre-paid treatments, we issue text reminders a minimum of 48 hours ahead of appointments. Patients should be aware that there may be reasons beyond our control, meaning that the text message does not reach them. Patients should diarise themselves when making follow-up appointments and not rely solely on the text message from the clinic as a reminder.

I was distraught about the trout pout I had from getting filler at another clinic. My friend Rachel told me about Dr Bong (the lip king!) and I am so pleased with my results. Thank you Dr Bong.

All I can say is there is no-one like Dr Bong - he is the best! I just wish I had found him years ago. I've recommended him to all my friends and cannot recommend him enough to you too.

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